Ukuthola Ukusekelwa Nezinsiza Ozidingayo
I-arthritis ye-rumatoid ingaphezu nje kwesifo sezingxenyana. Kuyisenzakalo esishintsha impilo esingahle siphonsa umhlaba wakho ube yi-tailspin. Uma ubhekana nalezi zithonya, into yokuqala okuzikhumbuza ukuthi ayikho inkambo ehleliwe nokuthi izenzo ozithatha manje zingenza umehluko omkhulu ekusebenzeni kahle-futhi ukunqoba-izinselele zokuphila nesifo.
Ukuthola Ukusekela
Emva kokuthola izindaba ukuthi une-arthritis ye-rheumatoid, isisindo sakho sokuqala singase sibe ukugoqa ngaphansi kwezingubo bese ufihla. Futhi, lokho kulungile. Ukufaka ikhanda lakho okuthile okuzungezile lokhu kungathatha isikhathi futhi uthole indawo ethule ukuthi ucabange kungaba ukuqala okunempilo.
Kodwa, uma usuqala ukuphuma ngaphansi kwezingubo, into yokuqala okudingeka uyenze ukuthola ukusekelwa. Lokhu kufaka ukusekelwa okusebenzayo, ukwesekwa kwezezimali, nokusekelwa ngokomzwelo.
Ukusekelwa okusebenzayo
Ukusekelwa okusebenzayo yilokho okukusiza kuzo zonke izigaba zokwelapha kwakho phambili. Inhloso ukwakha iqembu labachwepheshe bezezempilo ongabambisana nabo njengomlingani osebenzayo ekunakekeleni kwakho. Zingafaka:
- Udokotela wakho oyinhloko wokunakekela (PCP) olawula impilo yakho jikelele futhi uqondisa ochwepheshe bezokwelapha
- I-rheumatologist egxile ezifweni ze-musculoskelet and disorders autoimmune njenge-rheumatoid arthritis
- Umuthi wezinto eziphilayo ongakusiza ukuthi uphinde uthole amandla akho, ukuhamba, nokuhamba kokuhamba
- Uchwepheshe wezisebenzi ongakunikeza amathuluzi, amasu, nokusebenza "ukunqoba izithiyo ezingokwenyama ekuphileni kwansuku zonke
- Isazi sengqondo noma isazi sengqondo esingakusiza kangcono ukubhekana nokucindezeleka, ukukhathazeka nokucindezeleka kokuphila nesifo
- Isisebenzi senhlalakahle esingakusiza ukuthi ufunde indlela yokunakekelwa kwezempilo
Ukuze uthole ukusekelwa kwezemfundo, awukwazi ukwenza kangcono kunokuba uguqule izinsiza ze-intanethi ze-Arthritis Foundation. I-Tuscon-based based charity inikeza umtapo ophelele wezinto ezilula ukuyiqonda, izihloko ezisekelwe kwisayense ezihlanganisa konke kusuka emithini kanye nokudla kuya ebuhlotsheni kanye nokuphathwa kobuhlungu.
Ukuze uthole ukusekelwa bukhoma, ulwazi, noma ukuhanjiswa, shayela i-Arthritis Foundation yamahora angu-24 ku- 1-844-571-HELP (4357) .
Ukusekelwa kwezezimali
I-arthritis ye-rheumatoid ingabiza, ikakhulukazi uma usuvele ukwelashwa okwesikhashana futhi udinga izidakamizwa ezintsha zezizukulwane ze- biologic noma i- JAK inhibitors . Ngisho noma unomshuwalense wezempilo, i-deductible ne-copay ihlaziya ngokuvamile ingaba yinkimbinkimbi.
Ukuze ulahle ezinye zezindleko ezinkulu zokwelashwa, kunezinhlelo zosizo lwezezimali ezitholakalayo kokubili abantu abangaqinisekisiwe noma labo abanomshwalense abanenkinga enzima yokufaka izindleko zemithi. Ukuze ufinyelele lezi zinhlelo, kunezinhlaka ezimbili ezingezona zikahulumeni oziphendukela kuzo:
- Ukubambisana kosizo lwe-Prescription yinhlangano engeyona inzuzo engakusiza ukuthola imithi yamahrhthritis yamahhala noma ekhululekile ngaphandle kokukhululekile uma ungaqinisekisiwe, ungagunyaziwe, noma ufanelekile ngokwezezimali. Ukufaneleka kuncike emholweni wonyaka ongaphansi kwamahlanu u-Federal Poverty Level (FPL) womuntu ngamunye, umbhangqwana, noma umndeni.
- I-Advocate Foundation ye-Patient Advocate Foundation i-Co-Pay Relief enye inhlangano yokusizayo engakusiza ukuthi uthole ukukhokhelwa kokukhokhelwa kwekhodi. Usizo luhlinzekwa yizo zonke izidakamizwa ezinkulu. Ukufaneleka kuyinto encane kakhulu futhi kungabandakanyi labo abaye bahlinzeka ngemithi ebizwa nge-Medicare, Medicaid, nezinye izinsizakalo ezingenayo imali engenayo. Ukufaneleka kuyajwayelekile ukuthi akusekelwe kwimali engenayo.
Ukusekelwa ngokomzwelo
Umthelela womzwelo we-arthritis we-rheumatoid kungaba konke okujulile njengezinto ezibonakalayo. Ikakhulukazi uma uqala ukwelashwa, kungaba khona ukukhuphuka nezinkinga okungase kube nzima ukubhekana nazo.
Kungani uhlupheka ngokuthula?
Ukutshela othandekayo ukuthi uyaphi "akukhononda." Kubasiza ukuba baqonde ukuthi ubhekene nani futhi bavule amehlo abo ezidingo zakho kanye nokukhathazeka. Kungokuhlanganyela ngokuvumela ukuthi abanye bakusize.
Ibuye kusize ukufinyelela kwabanye abahlukunyezwe isifo samathambo. Amaqembu okusekela yizindawo ezinhle zokuthola induduzo, ukucela iseluleko, nokuxhumana nabanye abawazi kahle ukuthi uyaphi. Uma ungatholi iqembu eliseduze nawe, xhumana ne-Arthritis Foundation ukukuxhuma kwinethiwekhi yokusekela esifundeni sakho. Bangakunikeza ukuqeqeshwa ukuqala inethiwekhi eyilungu lakho.
Ezinye izinketho zokusekela zihlanganisa:
- Ukuxhuma eqenjini lokusekela i-arthritis le-rheumatoid ku-FaceBook
- Ukuqala iqembu lokusekela bukhoma ku-Meetup
- Ukusesha uhlu lwezinsizakalo zokusekela kwi-website ye-CreakyJoints engeyona inzuzo (noma uhlele iqembu lakho lokusekela)
Ngakolunye uhlangothi, uma imizwa yokucindezeleka noma ukukhathazeka iqhubeka naphezu kokwesekwa, cela udokotela wakho ukuba ahanjiswe kudokotela wezengqondo noma izifo zengqondo ezibhekene nezifo ezingapheli
Izinguquko zokuphila
Izimbangela ezimbili ezibalulekile ezingabangela ingozi ye-rhumatoid arthritis ukukhuluphala nokubhema. Ukuze unciphise lezi zingozi, udinga ukufaka ukulahlekelwa isisindo, ukuzivocavoca nokuqeda ukubhema okuyingxenye yeluhlelo lwakho lwezokwelapha.
Imigomo Yokudla
Ngenkathi kungekho-arthritis ye-rheumatoid "yokudla" ngayinye, kunemigomo eminingi engakusiza emzamweni wakho wokunciphisa isisindo nokulawula izimpawu zakho ze- arthritis ye-rheumatoid :
- Qala ngokudla okulinganiselayo lapho izingxenye ezimbili kwezintathu zokudla kwakho zivela izithelo, imifino, kanye nohlamvu lonke, kanti enye yesithathu iza imikhiqizo yobisi ephansi futhi imithombo ephilile yamaprotheni.
- Zama ukufaka inhlanzi eningi yama-coldwater ekudleni kwakho (njenge-tuna, i-salmon, i-mackerel, i-trout, ne-herring) enesisindo samafutha e- omega-3 ama- anti-inflammatory. Uma ungathanda ukuthatha amafutha ehlanzi , gwema ukusebenzisa ngokweqile njengoba kungaphazamisa izidakamizwa ezithile, kuhlanganise nemithi ephakeme yegazi.
- Amafutha omnqumo ehlukile omzimba anesifo esibizwa ngokuthi i-oleocanthal esivimbela i-enzyme yokuvuvukala efanayo njengama-painter nonsteroidal.
- Ukudla okuphezulu kwe-fiber nokudla kwansuku zonke phakathi kwamagremu angu-25 no-30 kuyaziwa ukunciphisa amazinga weprotheyini esebenzayo ye- C (i-CRP) egazini lakho. Lokhu kungenye yezinhlanganisela ezimbili eziyinhloko esisebenzisayo ukukala ukuvuvukala ekuhlolweni kwegazi le-rheumatoid arthritis.
Lapho uqala ukuqala, cabangela ukuhlangana nomuntu onomsoco oqeqeshiwe ongakusiza ukuba ubeke imigomo yokwehlisa isisindo. Ukulahleka kwesisindo ngokushesha kungabangela ukucindezeleka okungokwemvelo okungase kwandise ingozi ye- rheumatoid arthritis flare . Ukuphumula nokuzinzile kuyindlela engcono kakhulu.
Ukuzivocavoca
Ungakwazi ukuthola ukulahlekelwa kwesisindo ekudleni okodwa kodwa ngeke kwenzeke ukuthi uyilondoloze ngaphandle kokuzivocavoca umzimba . Kungakhathaliseki ukuthi yisiphi isigaba sesifo sakho, ukuvivinya umzimba kuzuzisa kakhulu, kuthuthukise ukuguquguquka okuhlangene kanye nokuhamba okuningi ngenkathi kunciphisa ingozi yokubuyela emuva. Njengokudla, indlela elinganiselayo izokukwenza kangcono kakhulu kunokuba uphonse kanzima futhi ukhuthaze ukuvuvukala.
Ngokusho kwe-American College of Rheumatology, kunezinhloso eziningana okufanele uzibekele lapho uqala uhlelo lokufaneleka:
- Umsebenzi omude wokuzikhandla we-aerobic kufanele wenziwe njalo ngesonto ingqikithi yemizuzu engu-150 isakazwe ngezinsuku ezimbalwa. Ukubhukuda nokuhamba yizibonelo zemisebenzi engathinteki engasebenza kancane engasebenzisa i-cardio yakho ngaphandle kokwehlisa amajoyina akho.
- Ukuzivocavoca kufanele kwenziwe okungenani izinsuku ezintathu kuya kwezinhlanu ngesonto, ubambelele ngamunye ukwethutha imizuzwana engu-15 kuya kwangu-30.
- Ukwakhiwa kwamandla kufanele kwenziwe izikhathi ezimbili kuya kwesithathu ngesonto futhi kuhileleke umzimba wokuzivocavoca okungu-8 kuya kwangu-10 ngokuphindaphindiwe okuyisishiyagalombili kuya kwezingu-10 ngomsebenzi ngamunye. Abantu asebekhulile bangase bafune ukwenza okuphindaphindiwe kuka-10 kuya kwezingu-15 ngezinsimbi eziphansi.
- Ukuhamba okuhamba phambili kungenziwa izikhathi ezinhlanu kuya kwezingu-10 ekuseni ukuze amalunga agudluke noma amahlanu kuya kwezi-10 ebusuku ngaphambi kokulala. Ungase ufune ukufaka ikhofu ye-rotator enhle , i- elbow , ne- knee stretches njengengxenye yesimiso sakho.
Umhlinzeki wakho womzimba angakunikeza uhlelo oluphelele lokuqeqeshwa olufanele iminyaka yakho nesimo sakho.
Ukuyeka ukubhema
Ukuyeka ugwayi akulula neze kodwa kuyinto okumelwe ukwenze uma unesifo se-rheumatoid arthritis. Njengomthetho, inhlanganisela yokweluleka kanye nokusiza ukubhema kuzokunikeza ithuba elihle kakhulu lokuphumelela kunokuhamba nge-turkey ebandayo. Ngokungeziwe kuma-picki, i-gum, ne-lozenges, ngaphezulu kwe-counter-counter-counter, i-US Food and Drug Administration iye yavuma izidakamizwa ezine zemithi ezikwazi ukusiza ekufuneni kwakho:
- I-Nicotine inhalers
- Izipulisi zamanoni zenzalo
- I-Zyban (bupropion)
- I-Chantix (varenicline)
Ukwelashwa kokubhema ukubhema kuhlanganiswa iMedicaid, Medicare, kanye nezinhlelo eziningi zomshuwalense wangasese. Uma udinga ukusekelwa, shayela i-American Cancer Society ku- 1-800-227-2345 ukuze uxhumeke ekunqandeni ucingo isimo sakho. Bangakwazi ukukuxhumanisa neqembu lokusekela endaweni yakini.
Amathiphu asebenzayo
Ungavumeli ukuba isifo samathambo sibe endleleni yakho yokuphila impilo enenzuzo. Ngezinye izikhathi konke okudingekayo kuyishintsho ezimbalwa ukunqoba izinselele ezingokomzimba nezingokomzwelo ongase ubhekane nazo. Nazi amathiphu ambalwa angasiza:
- Hlela kabusha amashalofu akho. Uma unenkinga yokufinyelela phezulu noma ukugoqa phansi, faka izinto ozisebenzisayo kakhulu eshalofini elingezansi kwekhabhinethi noma ekhabetheni eliphezulu. Ungavumeli "imithetho". Asikho isizathu sokuthi ungasusa izinto ngaphansi kwe-sink kuya eshalofini esitholakala uma ugcina ukucindezeleka komzimba wakho.
- Shintsha izikhundla kaningi. Uma ubhala, vula ukuphatha kwakho njalo imizuzu engu-10 noma kanjalo ukuze ugcine isandla sakho singanqamuki. Uma ubukela ithelevishini noma usebenza kwi-laptop yakho, vuka ngezikhathi ezithile ukuze welule imilenze yakho.
- Thola amathuluzi ongawasebenzisa. Kukhona izinto eziningi namathuluzi atholakalayo namuhla akwenzelwa abantu abane-arthritis. Kukhona izikali ezikhishwe ekhishini ezenza wonke umsebenzi wamaglavu wakho we-anti-vibration okuvumela ukuthi ubambe izibambo ngaphandle kobuhlungu. Hlola ubuchwepheshe obunamadivayisi alawulwa ngezwi okuvumela ukuthi uhambe ngezandla.
- Gcina amandla. Izikhathi zokuphumula nokusebenza noma ngabe usebenza emsebenzini. Hlela usuku lwakho kusengaphambili ukuze ukwazi ukugijima nxazonke noma ukuya emihlanganweni uma unamandla kakhulu futhi uthole isikhathi esithulile phakathi kokuthi ulayishe.
- Sebenzisa ukushisa ukuphatha ukuqina okuhlangene. Esikhundleni sokufinyelela amaphilisi, hlola ezinye izindlela zokuzitholela ukuhamba ekuseni. Ukushisa kukwandisa ukujikeleza kwegazi futhi kuvuselela izicubu. I-electrical noma i-microwaveable Heater pad ngokuvamile ingasiza ukunqoba noma yikuphi ukuqina okusahle okungenzeka ukuthi ubhekene nawo.
- Sebenzisa amakhaza ukuphatha ukuhlasela okumangalisayo. Izinhlanzi zinciphisa ukuvuvukala ngenkathi zibopha ubuhlungu. Uma usebenzisa iphakethe le-ice, ungafaki iqhwa ngqo esikhumbeni sakho noma ushiye endaweni eyodwa imizuzu engaphezu kwengu-15. Ukwenza kanjalo kungaholela ekugqabeleni .
- Hlola izindlela zokwelapha ngengqondo. Izindlela zokwelashwa kwengqondo ziyaqaphela ukuthi imicabango yethu nemizwa yethu ithonya kokubili ukusabela kwethu ebuhlungu kanye nesimo sethu senhlalakahle yethu yonke. Amanye amasu asetshenziselwa ukusekela ukwelashwa kwamathambo e-rheumatoid ahlanganisa ukuzindla , izithombe eziqondisiwe, i- biofeedback , ukuphumula kwemisipha okuqhubekayo (PMR), nokuzivocavoca okujulile (pranayama).
> Imithombo:
> Isikhungo Sikazwelonke seMithi Ephelele Neyomunye. "Umbiko Wokucwaninga: I-Rheumatoid Arthritis kanye Nemithi Ephelele Nezokwelapha." UBethesda, eMaryne; ibuyekeziwe ngoMeyi 4, 2016.
> Singh, J .; I-Saag, K .; Amabhuloho, uL. et al. "Umhlahlandlela we-American American College of Rheumatology Guideline for the Treatment of Rheumatoid Arthritis." Ukunakekelwa Kwe-Arthritis Res. 2016: 68 (1); 1-25. I-DOI: 10.1002 / acr.22783 .
> Sugiyama, D .; Nishimura, K .; UTamaki, K. et al. "Impikiswano yokubhema kuyisici esiyingozi ekuthuthukiseni i-arthritis ye-rheumatoid: ukuhlaziywa kwemeta yezifundo zokuhlola. "I- Annals Rheum Dis. 2010; 69 (1): 70-81. I-DOI: 10.1136 / ard.2008.096487.